Micronutrient status in lactating mothers before and after introduction of fortified flour: Cross-sectional surveys in Maela refugee camp
Background Deficiency of micronutrients is common in refugee populations. Objectives Identify deficiencies and whether provided supplements and wheat flour fortified with 10 micronutrients impacts upon status among breast-feeding women from Maela refugee camp. Methods Two sequential cross-sectional...
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th-mahidol.147972018-06-11T12:21:47Z Micronutrient status in lactating mothers before and after introduction of fortified flour: Cross-sectional surveys in Maela refugee camp Wolfgang Stuetz Verena Ilona Carrara Rose McGready Sue Jean Lee Juergen Georg Erhardt Joern Breuer Hans Konrad Biesalski François Henry Nosten Universitat Hohenheim Friedrich Schiller Universitat Jena Shoklo Malaria Research Unit Churchill Hospital Mahidol University Universitas Indonesia Medicine Nursing Background Deficiency of micronutrients is common in refugee populations. Objectives Identify deficiencies and whether provided supplements and wheat flour fortified with 10 micronutrients impacts upon status among breast-feeding women from Maela refugee camp. Methods Two sequential cross-sectional studies were conducted in different groups of lactating mothers at 12 weeks postpartum. The first survey was before and the second 4-5 months after micronutrient fortified flour (MFF) had been provided to the camp (in addition to the regular food basket). Iron status and micronutrients were measured in serum, whole blood, and in breast milk samples. Results Iron and zinc deficiency and anemia were highly prevalent while low serum retinol and thiamine deficiency were rarely detected. Iron and zinc deficiency were associated with anemia, and their proportions were significantly lower after the introduction of MFF (21 vs. 35% with soluble transferrin receptor (sTfR) > 8.5 mg/L, P = 0.042, and 50 vs. 73% with serum zinc < 0.66 mg/L, P = 0.001). Serum sTfR, whole-blood thiamine diphosphate (TDP) and serum β-carotene were significant predictors (P < 0.001) of milk iron, thiamine and β-carotene, respectively. Lower prevalence of iron deficiency in the MFF group was associated with significantly higher iron and thiamine in breast milk. Conclusions High whole-blood TDP and breast milk thiamine reflected good compliance to provided thiamine; high prevalence of iron deficiency suggested insufficient dietary iron and low acceptance to ferrous sulfate supplements. MFF as an additional food ration in Maela refugee camp seemed to have an effect in reducing both iron and zinc deficiency postpartum. © Springer-Verlag 2012. 2018-06-11T05:10:43Z 2018-06-11T05:10:43Z 2012-06-01 Article European Journal of Nutrition. Vol.51, No.4 (2012), 425-434 10.1007/s00394-011-0226-z 14366215 14366207 2-s2.0-84864709180 https://repository.li.mahidol.ac.th/handle/123456789/14797 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84864709180&origin=inward |
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Medicine Nursing Wolfgang Stuetz Verena Ilona Carrara Rose McGready Sue Jean Lee Juergen Georg Erhardt Joern Breuer Hans Konrad Biesalski François Henry Nosten Micronutrient status in lactating mothers before and after introduction of fortified flour: Cross-sectional surveys in Maela refugee camp |
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Background Deficiency of micronutrients is common in refugee populations. Objectives Identify deficiencies and whether provided supplements and wheat flour fortified with 10 micronutrients impacts upon status among breast-feeding women from Maela refugee camp. Methods Two sequential cross-sectional studies were conducted in different groups of lactating mothers at 12 weeks postpartum. The first survey was before and the second 4-5 months after micronutrient fortified flour (MFF) had been provided to the camp (in addition to the regular food basket). Iron status and micronutrients were measured in serum, whole blood, and in breast milk samples. Results Iron and zinc deficiency and anemia were highly prevalent while low serum retinol and thiamine deficiency were rarely detected. Iron and zinc deficiency were associated with anemia, and their proportions were significantly lower after the introduction of MFF (21 vs. 35% with soluble transferrin receptor (sTfR) > 8.5 mg/L, P = 0.042, and 50 vs. 73% with serum zinc < 0.66 mg/L, P = 0.001). Serum sTfR, whole-blood thiamine diphosphate (TDP) and serum β-carotene were significant predictors (P < 0.001) of milk iron, thiamine and β-carotene, respectively. Lower prevalence of iron deficiency in the MFF group was associated with significantly higher iron and thiamine in breast milk. Conclusions High whole-blood TDP and breast milk thiamine reflected good compliance to provided thiamine; high prevalence of iron deficiency suggested insufficient dietary iron and low acceptance to ferrous sulfate supplements. MFF as an additional food ration in Maela refugee camp seemed to have an effect in reducing both iron and zinc deficiency postpartum. © Springer-Verlag 2012. |
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Universitat Hohenheim |
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Universitat Hohenheim Wolfgang Stuetz Verena Ilona Carrara Rose McGready Sue Jean Lee Juergen Georg Erhardt Joern Breuer Hans Konrad Biesalski François Henry Nosten |
format |
Article |
author |
Wolfgang Stuetz Verena Ilona Carrara Rose McGready Sue Jean Lee Juergen Georg Erhardt Joern Breuer Hans Konrad Biesalski François Henry Nosten |
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Wolfgang Stuetz |
title |
Micronutrient status in lactating mothers before and after introduction of fortified flour: Cross-sectional surveys in Maela refugee camp |
title_short |
Micronutrient status in lactating mothers before and after introduction of fortified flour: Cross-sectional surveys in Maela refugee camp |
title_full |
Micronutrient status in lactating mothers before and after introduction of fortified flour: Cross-sectional surveys in Maela refugee camp |
title_fullStr |
Micronutrient status in lactating mothers before and after introduction of fortified flour: Cross-sectional surveys in Maela refugee camp |
title_full_unstemmed |
Micronutrient status in lactating mothers before and after introduction of fortified flour: Cross-sectional surveys in Maela refugee camp |
title_sort |
micronutrient status in lactating mothers before and after introduction of fortified flour: cross-sectional surveys in maela refugee camp |
publishDate |
2018 |
url |
https://repository.li.mahidol.ac.th/handle/123456789/14797 |
_version_ |
1763488348206268416 |